Charles Michael Smith Jr, MD - Medicare Critical Care (intensivists) in Memphis, TN

Charles Michael Smith Jr, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Memphis, Tennessee. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Critical Care (intensivists). He is a member of the group practice Sanford Medical Center Fargo and his current practice location is 6025 Walnut Grove Rd, Ste 508, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 767-5864.

Charles Michael Smith Jr is licensed to practice in Tennessee (license number MD26141) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578569687.

Contact Information

Charles Michael Smith Jr, MD
6025 Walnut Grove Rd, Ste 508,
Memphis, TN 38120-2125
(901) 767-5864
(901) 767-6591

Map and Direction




Physician's Profile

Full NameCharles Michael Smith Jr
GenderMale
SpecialityCritical Care (intensivists)
Experience32 Years
Location6025 Walnut Grove Rd, Memphis, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Charles Michael Smith Jr graduated from medical school in 1992
  NPI Data:
  • NPI Number: 1578569687
  • Provider Enumeration Date: 06/23/2005
  • Last Update Date: 11/08/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 6204968027
  • Enrollment ID: I20210119000786

Medical Identifiers

Medical identifiers for Charles Michael Smith Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578569687NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine MD26141 (Tennessee)Secondary
207RP1001XInternal Medicine - Pulmonary Disease MD26141 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sanford Medical Center FargoFargo, NDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sanford Medical Center Fargo84269678031085

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Charles Michael Smith Jr allows following entities to bill medicare on his behalf.
Entity NameSanford Clinic North
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942241351
PECOS PAC ID: 4284546151
Enrollment ID: O20031112000221
Entity NameSanford Medical Center Fargo
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184917924
PECOS PAC ID: 8426967803
Enrollment ID: O20110331000495

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles Michael Smith Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charles Michael Smith Jr, MD
6025 Walnut Grove Rd, Ste 508,
Memphis, TN 38120-2125

Ph: (901) 767-5864
Charles Michael Smith Jr, MD
6025 Walnut Grove Rd, Ste 508,
Memphis, TN 38120-2125

Ph: (901) 767-5864

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.